In this episode of Everything GLP-1, Dr. Tom Lavin speaks with Trey (Joseph) Pierre, who heads Galleria Medical Pharmacy in New Orleans and ranks among the top compounding pharmacists in the Gulf South, to trace how compounding has evolved from mortar-and-pestle apothecary work into a heavily regulated science built on sterility testing, potency verification, and sourcing from FDA-registered facilities.

Trey explains how oversight from the United States Pharmacopeia reshaped the industry after early safety failures, and together they draw a sharp line between legitimate 503 pharmacies and the unregulated gray and black markets supplying peptides with no quality assurance or physician oversight. They also discuss why personalized, customized medications are central to the future of preventive, patient-centered care.

It is a timely discussion for clinicians, healthcare leaders, and patients who want to understand what separates safe, accountable compounding from the risks lurking in unregulated peptide sourcing.

[00:00] Introducing Trey Pierre and Galleria Pharmacy

[01:01] From Mortar and Pestle to Modern Compounding

[03:13] Rising Standards in Today's Industry

[06:59] The Dangers of the Black Market

[09:24] Category 1, Category 2, and FDA Oversight

[12:41] The Case for Personalized Medicine

[21:10] What's Next for Galleria Medical Pharmacy

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

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In this episode of Everything GLP-1, Dr. Tom Lavin speaks with Scott Brunner, CEO and President of the Alliance for Pharmacy Compounding, to examine how pharmacy compounding has shaped patient access during the GLP-1 shortage era. Rather than framing compounding as a workaround, Brunner explains how it operates within a rigorous, multilayered regulatory system involving the FDA, USP standards, and state boards of pharmacy.

Together, they discuss how drug makers have sometimes conflated legitimate compounding with counterfeit activity, the growing black market for unapproved peptides, and why personalized, prescriber-directed formulations remain essential for patients whose needs fall outside commercially available options. Brunner also outlines the case for creating a regulated pathway for peptide compounding, including enhanced safety data collection.

Listeners will come away with a clearer understanding of how compounding regulation actually works, why it matters for patient safety and access, and what policy changes may be coming. It is a valuable listen for clinicians, healthcare leaders, and anyone following the future of GLP-1 access and obesity medicine.

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

Hosted on Acast. See acast.com/privacy for more information.

Compounded GLP-1 medications have become one of the most talked-about topics in healthcare, but there’s also a tremendous amount of confusion surrounding their legality, safety, and role in patient care. In this episode of Everything GLP-1, Dr. Tom Lavin sits down with Karla Palmer, one of the nation’s leading FDA and DEA regulatory attorneys, to break through the misinformation and explain what patients need to know.

With more than three decades of experience advising pharmacies, manufacturers, and healthcare providers, Karla explains how compounded medications have been a vital part of American healthcare for decades, why 503A compounding pharmacies exist, and what changed after the GLP-1 shortages officially ended. Together, they discuss the important differences between legally compounded medications and unregulated research peptides, how patients can identify safe sources of treatment, and why physician oversight remains essential.

Whether you’re currently taking a GLP-1, considering treatment, or simply trying to understand the rapidly changing landscape, this conversation offers clear, practical insight into the future of compounded GLP-1s, peptide therapies, and FDA regulation. It’s an essential episode for anyone who wants to make informed decisions about their health with facts instead of headlines.

https://www.yourera.com/

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"Everything GLP-1" is a podcast to discuss just that. GLP-1s are everywhere, but there's no one, great place to get quality, professional opinions that can help inform your health journey. Join Dr. Tom Lavin as he engages in conversations with industry experts to help you feel more confident and inspired to live a fuller life on your terms.

This episode features Samantha Spansel, a physician assistant who joins Dr. Lavin to discuss how recent breakthroughs in GLP-1 treatments are helping to prevent metabolic syndrome and improve life outcomes.

For more questions on GLP-1s and if they're right for you, visit YourEra.com

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

Hosted on Acast. See acast.com/privacy for more information.

This episode features Ramsey Hare, Regulatory Compliance Specialist with Lavin National, a former bariatric patient and current GLP-1 patient, for a discussion with Dr. Tom about the evolution of weightloss healthcare on patient care, and how it’s giving doctors and patients more options than ever with how they care for their bodies.

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health. 

Hosted on Acast. See acast.com/privacy for more information.

""Everything GLP-1" is a podcast to discuss just that. GLP-1s are everywhere, but there's no one, great place to get quality, professional opinions that can help inform your health journey. Join Dr. Tom Lavin as he engages in conversations with industry experts to help you feel more confident and inspired to live a fuller life on your terms.

This episode features Gibb Clark, CEO of YourEra, returning for a second discussion with Dr. Tom about the impact GLP-1s are having on patient healthcare, and how it’s revolutionizing our relationships with our bodies.

For more questions on GLP-1s and if they're right for you, visit YourEra.com

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

Hosted on Acast. See acast.com/privacy for more information.

"Everything GLP-1" is a podcast to discuss just that. GLP-1s are everywhere, but there's no one, great place to get quality, professional opinions that can help inform your health journey. Join Dr. Tom Lavin as he engages in conversations with industry experts to help you feel more confident and inspired to live a fuller life on your terms.

This episode features Gibb Clark, CEO of YourEra, for a discussion with Dr. Tom about the impact GLP-1s are having on patient healthcare, and how it’s revolutionizing our relationships with our bodies.

For more questions on GLP-1s and if they're right for you, visit YourEra.com

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

Hosted on Acast. See acast.com/privacy for more information.

"Everything GLP-1" is a podcast to discuss just that. GLP-1s are everywhere, but there's no one, great place to get quality, professional opinions that can help inform your health journey. Join Dr. Tom Lavin as he engages in conversations with industry experts to help you feel more confident and inspired to live a fuller life on your terms.

This episode features Lucas Irwin, President and Founder of Rebel Health, a Corporate Wellness Consultancy, about the role GLP-1s have in enacting a broader, comprehensive lifestyle shift that includes everything from sleep to exercise and even mentality.

For more questions on GLP-1s and if they're right for you, visit YourEra.com

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

Hosted on Acast. See acast.com/privacy for more information.

"Everything GLP-1" is a podcast to discuss just that. GLP-1s are everywhere, but there's no one, great place to get quality, professional opinions that can help inform your health journey. Join Dr. Tom Lavin as he engages in conversations with industry experts to help you feel more confident and inspired to live a fuller life on your terms.

This episode features Dr. Neemila Singh, an endocrinologist and women's health specialist who joins Dr. Lavin to discuss how recent breakthroughs in GLP-1 treatments are changing the outcomes of perimenopause and menopause treatments.

For more questions on GLP-1s and if they're right for you, visit YourEra.com

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

Hosted on Acast. See acast.com/privacy for more information.

In this episode, Dr. Tom Lavin sits down with Erin Clark to discuss how how physician-guided micro-dosing of GLP-1s may help support metabolic balance and reduce inflammatory stress as part of a long-term wellness approach.

DISCLAIMER: Dr. Lavin's podcast is for informational and entertainment purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any medical concerns or before making decisions about your health.

Hosted on Acast. See acast.com/privacy for more information.